Explore This IssueACEP Now: Vol 33 – No 02 – February 2014
POCUS can be a useful tool for confirmation of a suspected shoulder dislocation, as well as determining the efficacy of reduction. Anterior and posterior dislocations can be easily distinguished by the relationship of the humeral head to the glenoid fossa on ultrasound. Recognition of these simple ultrasonographic anatomic relationships can facilitate acquisition of more advanced skills such as fracture identification and guided intra-articular injection.
Christine Riguzzi, MD, is ultrasound fellow, Department of Emergency Medicine, Alameda Health System, Highland General Hospital; Daniel Mantuani, MD, is attending physician, Department of Emergency Medicine, Alameda Health System, Highland General Hospital; Arun Nagdev, MD, is director, emergency ultrasound, Department of Emergency Medicine, Alameda Health System, Highland General Hospital.
- Wolfson AB, Hendey GW, Ling LJ, Rosen CL, Schaider JJ, Sharieff GQ. Harwood-Nuss’ Clinical Practice of Emergency Medicine. Lippincott Williams & Wilkins; 2012.
- Abbasi S, Molaie H, Hafezimoghadam P, et al. Diagnostic accuracy of ultrasonographic examination in the management of shoulder dislocation in the emergency department. Ann Emerg Med. 2013:1-6.
- Blakeley CJ, Spencer O, Newman-Saunders T, et al. A novel use of portable ultrasound in the management of shoulder dislocation. Emerg Med J. 2009;26(9):662-663.
- Beck S, Chilstrom M. Point-of-care ultrasound diagnosis and treatment of posterior shoulder dislocation. Am J Emerg Med. 2013;31(2):449.e3-449.e5.
- Kowalsky MS, Levine WN. Traumatic posterior glenohumeral dislocation: classification, pathoanatomy, diagnosis, and treatment. Orthop Clin North Am. 2008;39(4):519-33-viii.